we can do surgery, of course. we have a laboratory, we do deliveries for up to 40 patients in the hospital. >> one of the enormous challenges facing anyone is the harshness of the environment. it is 45 degrees in the midday summer sun and in four months, it will be a freezing cold wind whipping around with temperature at night dropping to well below zero. >> trying to flatten out the rocky ground, some structures are being shipped and ready built. these are usually the administrative cuts, and the prefabrication is expensive and transportation is hard. most of the effort is going to the homes themselves. >> we see the work being done, the situation continuing to deteriorate inside syria.